HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
1. The nurse enters a 2 year-old child's hospital room in order to administer an oral
medication. When the child is asked if he is ready to take his medicine, he immediately
says, "No!". What would be the most appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce - CORRECT ANSWERS A: Leave the
room and return five minutes later and give the medicine
2. The mother of a 15 month-old child asks the nurse to explain her child's lab results
and how they show her child has iron deficiency anemia. The nurse's best response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation." - CORRECT ANSWERS
B: "Your child has less red blood cells that carry oxygen."
3. The parents of a 2 year-old child report that he has been holding his breath whenever
he has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to prevent anoxia
C) Advise the parents to ignore breath holding because breathing will begin as a reflex
D) Instruct the parents on how to reason with the child about possible harmful effects -
CORRECT ANSWERS C: Advise the parents to ignore breath holding because breathing
will begin as a reflex
,HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
4. The nurse is assessing a client in the emergency room. Which statement suggests that
the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area." - CORRECT ANSWERS A: "My pain is
deep in my chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted with possible organic
brain disorder. Which of these questions will best assess the function of the client's
recent memory?
A) "Name the year." "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now
continue to subtract 7 from the new number."
C) "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of
it?" - CORRECT ANSWERS C: "I am going to say the names of three things and I want
you to repeat them after me: blue, ball, pen."
6. In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - CORRECT ANSWERS C: Security
7. A nurse has just received a medication order which is not legible. Which statement
best reflects assertive communication?
,HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would
be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read
your writing." - CORRECT ANSWERS B) "Would you please clarify what you have
written so I am sure I am reading it correctly?"
8. What is the most important consideration when teaching parents how to reduce risks
in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - CORRECT ANSWERS D: Age of children in the home
9. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT ANSWERS C:
Administer the prescribed analgesia
10. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
, HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
D) Coughing up copious secretions - CORRECT ANSWERS A: Respiratory rate of 30
11. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - CORRECT ANSWERS A: Lethargy
12. The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - CORRECT ANSWERS B: "The
seizure may or may not mean your child has epilepsy."
13. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - CORRECT ANSWERS A: Risk for injury
14. The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is
important for the nurse to maintain patency of which of these areas?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller StudyGuideSolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
